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Postal Life Insurance

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    • Protection for Self and Family.
    • Reduce Stress.
    • Financial Security.
    • A legacy to leave behind.
    • Insurance facilitates spreading of risk from the

Insured to the Insurer.

    • It is a Tool in the management of risks.
    • Insurance, an intangible, provides another intangible:

Peace of mind.

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    • Introduced as a Welfare Scheme for Postal Employees on 01.02.1884.
    • In 1888 extended to Telegraph Department.
    • Later on it was extended to State and Central Government Employees.
    • First Insurer to extend coverage to women in 1894.
    • In 1995, insurance cover extended to rural areas (RPLI).

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  • The Directorate PLI is the Apex Body for formulation of Policy, Products and Administration of PLI/RPLI Fund.
  • Procurement of the Business, after sale services & all types of Claims will be managed by the CPC.
  • The Office of Director, PLI, Kolkata functions as Accounting Office in the Country.

Postal Life Insurance

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GMs (PLI)

Director PLI Kolkata

Actuary

Postal Life Insurance

PLI Directorate Organisational Chart

Investment Division

CGM (PLI)

CPMGs

Member (PLI) - Chairman

UTI Asset Mgt Co Ltd

SBI Funds Mgt Pvt Ltd

PMGs

Director HQ/Region

Divisional Heads)

DO/Dept Employees/Field Officer/Direct Agent/GDS

CPCs

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Benefits

1. Low Premium and High Bonus.

  1. Income tax concession under Section 80CC of IT Act-1961.
  2. Easy transfer to any place of India free of Cost.
  3. Payment of Premium through multiple channels, any where in India.
  4. Providing online services like Premia Payments, New Proposal Indexing etc..
  5. Rebate for advance Premium Payments.

PLI

Minimum SA – Rs.20000/- in multiples of Rs.10000/-

Maximum SA – 50 Lakhs in one Class/All Classes of Insurance Policy(s)

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Eligibility for Postal Life Insurance

Permanent Residents in India who are Employees of

    • State or Central Government.
    • Defense Services.
    • Local Bodies like Municipality, Zilla Parishad etc…
    • Para Military Force.
    • GDS.
    • Government Aided Educational Institutions.
    • Universities established by Govt.
    • Reserve Bank India
    • Ports, Public Sector Undertakings.

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Eligibility for Postal Life Insurance

Permanent Residents in India who are Employees of

    • Joint Ventures where Government is having minimum 10% of Holding.
    • Employees of Credit Co-Op Societies partly or fully funded by the

government.

    • Employees of education institutions affiliated to recognized

boards.(CBSE, ICSE, State Boards, Open Schools etc..)

    • Professionals (Doctors, Engineers, Management Consultants, Chartered

Accountants, Architects, Lawyers etc..)

    • Bankers (Nationalized, Foreign, Scheduled Commercial, Private )
    • Employees of Listed companies of NSE & BSE.

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Postal Life Insurance

Whole Life Assurance (Suraksha)

Convertible Whole Life Assurance (Suvidha)

Endowment Assurance (Santosh)

Anticipated Endowment Assurance (Sumangal)

Joint Life Assurance (Yugal Suraksha)

Children’s Policy (Bal Jeevan Bima)

Types of Postal Life Insurance Policies

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Whole Life Assurance : SURAKSHA

  • Age limit 19 to 55 Years.
  • Premium payable up to 55/58/60 Years.
  • Policy will be in force till the insurant attains the age of 80 Years.
  • Payable on attaining the age of 80 Years or after the death of the policy holder which ever occurs earlier.

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Whole Life Assurance : SURAKSHA

Bonus

  • Bonus applicable from 01-04-2020 is Rs.76 per Rs.1000/-
  • Not eligible for bonus if surrendered before completion of 5 years.

Conversion Benefit

  • Can be converted into an Endowment Assurance Policy after completion of one year and before 59 Years of age of the insurant.
  • The date of conversion should not fall within One Year of the date of cessation of premium Payment or Date of Maturity.

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Convertible Whole Life Assurance : SUVIDHA

  • Age limit 19 to 50 Years.
  • Whole Life Assurance Policy with an option to convert into EA at the end of 5 Years.
  • On conversion Bonus of EA will be payable.
  • Can be converted to EA after 5 years and not later than 6 years.
  • Policy will be treated as Whole Life Assurance if not converted.
  • Age on the date of conversion should not exceed 55 Years.
  • Premia Ceasing Age: As Applicable to Whole Life Assurance Plan.

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Convertible Whole Life Assurance : SUVIDHA

Bonus

  • Bonus applicable from 01-04-2020 is Rs.76 per Rs.1000/- if remains in WLA.
  • Rs.52/-per Rs.1000/- if it is converted in to EA.
  • Not eligible for bonus if surrendered before completion of 5 years.

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Endowment Assurance : SANTOSH

  • Age at Entry : 19 to 55 Years.
  • Payable to the Insurant on attaining the Pre-Determined age of Maturity.
  • In case of death, nominee will be paid full amount of the Sum Assured with Accrued Bonus.
  • Available Policy Term (Premium Ceasing Age) :

EA35, EA 40, EA 45, EA50, EA55, EA58 and EA60.

Postal Life Insurance

Bonus

  • Bonus applicable from 01-04-2020 is Rs.52 per Rs.1000/-
  • Not eligible for bonus if surrendered before completion of 5 years.

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Anticipated Endowment Assurance : SUMANGAL

(W.E.F : 24.03.1984)

  • It is a Money Back Policy.
  • Survival benefit is paid to Insurant periodically.
  • Best Suited Policy for Periodical Returns.
  • Two Types : 15 Years and 20 Years Term.
  • Age :

Minimum : 19 Years.

Maximum : 45 & 40 Respectively for 15 & 20 Years Term.

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Anticipated Endowment Assurance

Instalment Payable

15 Years Term

20 Years Term

20 % of Sum Assured Amount

6

8

20 % of Sum Assured Amount

9

12

20 % of Sum Assured Amount

12

16

40 % of Sum Assured Amount with Bonus

15

20

Postal Life Insurance

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Anticipated Endowment Assurance : SUMANGAL

  • Bonus : Rs.48/- per Rs.1000/-
  • Additional Benefit :
    • Survival Benefit already paid will not be taken into consideration in the event of unexpected death.
    • Full Sum Assured Amount with accrued bonus is payable to the Assignee or Legal Heir.

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Joint Life Assurance : YUGAL SURAKSHA

(W.E.F : 01.08.1997)

  • Life insurance coverage is provided to both spouses with only one premium.
  • One of the spouses should be eligible for PLI policies.
  • Features are same as EA.
  • Spouse should be literate.
  • Age at Entry should not be less than 21 Years and more than 45 Years.
  • Person having more than one spouse living, cover will be available in respect of eldest spouse.

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Joint Life Assurance : YUGAL SURAKSHA

  • At Maturity, the older spouse should not be more than 60 Years on his/her next birth day.
  • Both spouses shall have to undergo Medical Examination irrespective of the Sum Assured.
  • The Sum Assured with accrued Bonus will be payable on the death of one spouse before Maturity to the Survivor.
  • Policy Term : Minimum 5 Years and Maximum 20 Years.

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Joint Life Assurance : YUGAL SURAKSHA

Bonus

  • Rs.52/-per Rs.1000/-
  • Not eligible for bonus if surrendered before completion of 5 years.

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Children Policy : BAL JEEVAN BIMA

(W.E.F : 20.01.2006)

  • Non-Medical Policy.
  • Minimum limit : Rs.20,000/- and Maximum : Rs.3,00,000/-
  • Parent should also have a policy equivalent to amount of Sum Assured of the child.
  • Maximum 2 children are eligible. Only one Policy for each child.
  • Age : Main Policy Holder (Father/Mother) : Maximum 45 Years.

Children : Minimum 5 and maximum 20 Years.

  • Claim :
      • No premium is payable, in case of death of Main Policy Holder.
      • Full Sum Assured + Accrued bonus will be paid after the completion of Policy Term.

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Children Policy : BAL JEEVAN BIMA

Bonus

  • Rs.52/-per Rs.1000/-
  • Not eligible for bonus if surrendered before completion of 5 years.

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Age Limit

Scheme

Minimum

Maximum

WLA/EA

19

55

Joint Life Assurance

21

45

AEA

19

40/45

CWLA

19

50

Children Policy

5

Child : 20

Parent : 45

Non-Medical

19

35/40 RPLI/PLI

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Medical Report

  • Medical Report is mandatory in the following cases:
      • When Age at Entry exceeds 40 Years.
      • When Sum Assured exceeds Rs.5,00,000/-.
      • When Maturity is sought at 35 years of age.
      • AEA/Yugal Suraksha Policies.
  • For Non-Medical : Maximum Sum assured is Rs.5,00,000/-.
  • A PLI Policy up to Rs.2 Lakh Sum Assured will be Non-Medical Policy irrespective of Age Limit.
  • RPLI : Up to 35 Years with Standard Age Proof SA Rs. One Lakh.

Without Standard Age Proof SA Rs.25000/-

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Up to Rs.5 Lakhs

i. Assistant Civil Surgeon or above/Medical Officer in PHC,

RMPs subject to certain conditions

ii. Medical Officer equivalent to Assistant Civil Surgeon or above employed in Central/State/Municipal District Board/Local Board/Cantonment Board/Union Board Hospital and Medical Officers of Public Sector Undertakings

iii. Medical Officers (Gr-II)

Status of Medical Officer

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Above Rs.5 Lakhs and up to Rs.10 Lakhs

i. Dy Civil surgeon or above

ii. Medical Officer equivalent to Deputy Civil Surgeon or above employed in Central/State/Municipal District Board/Local Board/Cantonment Board/Union Board Hospital and Medical Officers of Public Sector Undertakings with at least 10 Years of experience

iii. Retired Medical Officers (Gr-I)

Status of Medical Officer

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Above Rs.10 Lakhs

i. Civil surgeon, Medical Officer not lower than that of Civil Surgeon or Chief Medical Officer, CMO Grade-I, Specialist Grade-II

ii. Medical Officer (Allopathic)equivalent to Civil Surgeon employed in Central/State/Municipal District Board/Local Board/Cantonment Board/Union Board Hospital and Medical Officers of Public Sector Undertakings with at least 15 Years of experience

iii. Retired Civil Surgeon, CMO Gr-I and Specialist Grade-II

Status of Medical Officer

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Medical Fee Payable

Sum Assured

Medical Fee

Up to Rs.10 Lakhs

Rs.50/- Per Examination

Above Rs.10 lakhs up to Rs.20 Lakhs

Rs.70/- Per Examination

Above Rs.20 lakhs

Rs.120/- Per Examination

Revival Cases

Rs.150/- Per Examination

  • The validity of the Medical certificate is 60 days.
  • If it is not accepted within that period, Second Medical Examination is to be done.

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Miscellaneous

  • Maximum Sum Assured Rs.50,00,000/- .if the age is below 40.
  • Maximum Sum Assured amount to be offered to Employees till the Age of 40 Years will be 10 Times of Gross Annual Income.
  • If the age is more than 40, it is 7 times of Annual Income or 50 Lakhs whichever is less.
  • WLA/EA Plans under PLI, the minimum Term above 50 Years and SA above 5 Lakh will be 7 Years.
  • Person aged 54 Years : Minimum Term is 6 Years.
  • For Physically handicapped Maximum Rs.50,00,000/-.
  • Nomination : Maximum three persons can be Nominated.

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Rural Postal Life Insurance

Introduced on 24.03.1995.

For Rural people on the recommendation of Malhotra Committee.

Minimum Sum Assurance amount that can be offered in RPLI is Rs. 10,000/- .

In Multiple of Rs.5,000/- .

Maximum Sum Assured : Rs.10 Lakhs.

The Maximum Age Limit in case of illiterate is 45 Years only.

Both Literate and Illiterate are eligible for Insurance Cover.

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Rural Posta Life Insurance

Endowment Assurance (Gram Santhosh)

Whole Life Assurance (Gram Suraksha)

Convertible Whole Life Assurance (Gram Suvidha)

Anticipated Endowment Assurance (Gram Sumangal)

Ten Years RPLI (Gram Priya)

Children’s Policy (Bal Jeevan Bima)

Types of RPLI Policies

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Features of RPLI Policies

  1. Whole Life Assurance (GRAM SURAKSHA)
  2. Convertible Whole Life Assurance (GRAM SUVIDHA)

3. Endowment Assurance (GRAM SANTOSH)

4. Anticipated Endowment Assurance (GRAM SUMANGAL)

5. Children Policy (BAL JEEVAN BIMA)

    • Features of the above RPLI policies are same as PLI except Bonus and Age Criteria.
    • Age in case of CWLA (RPLI) is 19 to 45 Years.
    • Maximum Sum Assured in Children Policy is Rs.1 Lakh.

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10 Year Rural Postal Life Insurance : GRAM PRIYA

    • An AEA Scheme for 10 Years.
    • No interest charged up to one year arrears of premia up to a maximum period of 12 Months in case of Natural calamities.
    • Arrear Premia can also be paid subsequently in maximum 6 installments.
    • Policy shall be entertained in case of death.
    • Not applicable in case of arrears of premia before occurrence of natural calamity.

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10 Year Rural Postal Life Insurance : GRAM PRIYA

    • Age at Entry: Minimum Age 19 and Maximum Age 45 Years.

Survival Benefit Payable

After Completion of 4 years : 20% of Sum Assured

After completion of 7 Years : 20% of Sum Assured

After Completion of 10 Years : 60% of Sum Assured Plus Bonus

Rural Postal Life Insurance

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Age Proof

There are two types of Age Proofs

      • Standard age proof
      • Non Standard Age Proof

Rural Postal Life Insurance

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Standard Age Proof

      • Birth Certificate
      • School Certificate/Mark Sheet
      • PAN Card/PRAN Card
      • Passport
      • Driving License

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Non-Standard Age Proof

  • Aadhar Card
  • Voter-ID
  • Elders Declaration
  • Medical Examiner`s approximate age certificate
  • Declaration by Insurant counter signed by Panchayath Member

5% Extra Premium for Non-Standard Age Proof.

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Rebate

  • Rebate is eligible for Monthly Premium Policies.
  • 2% - for Twelve Months Advance Premia.
  • 1% - for Six Months Advance Premia.
  • 0.5% - for Three Months Advance Premia in case of RPLI Policies only.
  • For Yugal Suraksha Rebate of 2%, 10%, 50% of Premium for One Month is allowed, if Premium is in Advance for 3,6 & 12 Months respectively.

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Formula for calculation of DF

1. Formula: N X (N+1) X premium

----------------------------------------

200

2. No. of defaults x premium

----------------------------------

100

*N = No of Months

      • Interest @ 12% for Defaulted Installments

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Bonus

Plans

PLI Bonus Rate

Per Rs.1000/- (Rs)

RPLI Bonus Rate

Per Rs.1000/- (Rs)

Whole Life Assurance

76

60

Endowment Assurance

52

48

Anticipated Endowment Assurance

48

45

Children Policy

52

48

Joint Life Insurance

52

Not Applicable

Gram Priya

Not Applicable

45

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PLI-RPLI Approver Limits

Limit of acceptance of New Proposals, Revival, Surrender, Forced Surrender, Maturity, Survival, Death Claims (Except Early Death Claim) Settlement of Maturity and Survival benefit claims of PLI and RPLI

Criteria

Approving Authority/Approver

Up to and Equal to Rs.20 Lakhs

  1. Postmaster (HSG-I/HSG-II)
  2. Sr.Postmaster (Gr-B)
  3. Dy.Chief Postmaster (Gr-B)
  4. AD of HOs headed by Director (Gr-B)

Greater than Rs.20 Lakhs and up to and equal to Rs.50 Lakhs

  1. Head of the Division (Gr-B/Gr-A)
  2. Chief Postmaster (Gr-A)
  3. Dy.Director of HO Headed by a Director (Gr-A)

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PLI-RPLI Approver Limits

Early Death Claim (death within 3 Years of acceptance of Policy)

Criteria

Approving Authority/Approver

All cases irrespective of Sum Assured

  1. Director GPO (JAG)
  2. Director (HQ)
  3. Regional DPS (JAG)

All Non Financial /Financial Service Requests will continue to be approved by Postmaster/Manager of CPC (GPO/HO) concerned

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After Sale Services

Assignment

Commutation

Conversion

Reduced Paid Up

Name Change

Free Look/ Policy Cancellation

Issue of Duplicate Bond

Loan

Surrender

Maturity

Death Claim

Revival

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Void & Lapse

  • Void :
    • A policy which is in existence for a period less than 3 Years shall be treated as Void, if the premium remain unpaid either on the due date or within the Grace Period admissible.
  • Lapse :
    • A policy which is in existence for a period less than 3 Years shall be treated as lapsed, if the premium remain unpaid for more than 6 Months.
    • A policy which is in existence for a period of more than 3 Years shall be treated as Lapsed, if the premium remain unpaid for more than 12 Months.

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Revival and Reinstatement

For Policies Less than 3 Years

For Policies more than 3 Years

Up to 6 Months

Void Lapse

(Reinstate)

After 6 Months

Active Lapse

(Revive)

Up to 12 Months

Inactive Lapse

(Reinstate)

After 12 Months

Active Lapse

(Revival)

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Revival Conditions

The revival of the policy is possible only if

    • The Policy has not attained the date of maturity.
    • The life assured is insurable at the time of revival.
    • A period of consecutive 5 years has not passed from the date of first unpaid premium.
    • Revival amount can be paid either as one lump sum or not more than 12 installments
    • Medical Re-Examination required.
    • Can be Revived any number of times subject to conditions.

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Assignment

Policies may be assigned by the policy holder

1. For valuable consideration; or

2. By way of gift.

  • The assignment may be made either by an endorsement on the reverse of the policy itself or by a separate deed.
  • The Assignment must be dated and signed by the Assignor in the presence of a Witness.
  • After the Assignment of a Policy is effected, the policy cannot be dealt with any further by the Assignor.
  • Assignment will be inoperative unless a notice in writing given to PM/Manager CPC

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Commutation

  • Any alteration in a contract of Insurance except the date of Maturity.
  • Alteration includes : The Premium or Sum Assured.
  • Conversion/Commutation of Policy will be complete only after deposit of revised premium.
  • Surrender request of a converted Policy be indexed after receipt of revised premium.

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Conversion

  • Any alteration of affecting the date of Maturity of a contract of Insurance.
  • Conversion includes Whole Life Assurance to Endowment Assurance.
  • Alteration includes Antedating and Post Dating of the Maturity of an Endowment Policy.
  • Allowed only after payment of Premia for an Integral Number of Years.
  • Extension of Premium Term is permitted on production of a Medical Certificate of Good Health.
  • Permitted once without fee.
  • Second and subsequent conversion fee not exceeding Rs.20/- will be charged.
  • Joint Life Assurance, AEA, Children Policy and 10 Year RPLI Policies cannot be converted.

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Reduced Paid UP

  • Allows the Policy Holder to stop further premium payment.
  • Results in reduced Sum Assured without altering the Term.
  • Allowed on completion of 3 Years.
  • Sum Assured gets reduced proportionate to Premium Payment.

Auto Paid Up

  • Policy for which 36 or more premiums have been paid.
  • Policy completed three years or more.
  • Policy Holder without intimation discontinues payment of further Premium. OR
  • Policy Holder pays the future premium by a single payment.

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Name Change

Any one of the following Documental Evidence will be considered.

    • A Gazette Notification.
    • A News Paper Advertisement.
    • A Declaration / Affidavit made before the Magistrate.
    • Adoption Deed.
    • Marriage Certificate.

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Free Look/Policy cancellation

  • Insurant can apply for Free Look/Policy cancellation within 15 days from the date of acceptance.
  • The entire premium will be paid back to the customer after deducting the medical examination fee.

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Issue of Duplicate Bond

  • Advertisement about the Loss of a PLI/RPLI Policy Bond is dispensed with irrespective of Sum Assured vide Order No.25-5/2007-LI(Part) dtd. 08-02-2019,
  • Fees for issue of Duplicate Policy is Rs.100/-.
  • Issue of Duplicate Policy Document will be approved at CPC Level.
  • Approving Authority may consider settlement of cases without original Policy Bond by taking letter of Indemnity for settlement of PLI/RPLI Maturity Cases.

(Letter: F.No.25-04/SOP/2020-LI Dated 19.03.2021.)

Fees for Duplicate Premium Receipt Book will be Rs.20/-

(Order No. 29-13/2019-LI dtd. 08-07-2019).

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Loan

Loan Facility Available

Whole Life Assurance (SURAKSHA)

Convertible Whole Life Assurance (SUVIDHA)

Endowment Assurance (SANTOSH)

Joint Life Assurance (Yugal Suraksha)

Loan Facility Not Available

Anticipated Endowment Assurance (SUMANGAL)

Children Policy (BAL JEEVAN BIMA)

Grama Priya (10 Year RPLI AEA)

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Loan

1. Whole Life Assurance (SURAKSHA)

2. Convertible Whole Life Assurance (SUVIDHA)

Loan Facility Available after 4 Years

Exceeding 4 Years but not less than 7 Years 60% of SV

Exceeding 7 years but not less than 12 Years 80% of SV

Exceeding 12 Years 90% of SV

Interest @10% Per Annum Compounded Half Yearly.

*SV : Surrender Value.

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Loan

1.Endowment Assurance (SANTOSH)

2.Joint Life Assurance (Yugal Suraksha)

Loan Facility Available after 3 Years

Exceeding 3 Years but not less than 5 Years 60% of SV

Exceeding 5 years but not less than 10 Years 80% of SV

Exceeding 10 Years 90% of SV

Interest @10% Per Annum Compounded Half Yearly.

*SV : Surrender Value.

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Loan

  • Status of the Policy should be active for availing loan facility.
  • Maximum admissible amount of Loan will be 90% of Surrender Value.
  • The amount of Loan should not become less than Rs.1000/-.
  • Policy should not have been assigned.
  • Amount of Loan will be in complete multiples of Rs.100/-
  • In the event of loss of Loan Repayment Receipt Book, procedure of Issue of DPB will be applied.

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Loan

  • Loans can be availed from India Post or from any other Organisation by assigning the Policy.
  • Insurant can authorise any person as a messenger (Adult Literate of sound mind) for submission of Loan Application in case of being medically unfit or out side India.
  • Self attested copy of Pass Port showing the date of Departure is necessary in case the Insurant is outside India.
  • Insurant, who wish to avail loan from other organisations have to submit Application for Issue of Assignment Letter at any PO or CPC.

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Loan

  • Original documents to be produced at the time of submission of application and the same will be returned after comparing it with the copies submitted.
  • Official accepting the self attested copies to sign the document in token of verification.
  • Concerned office will give an acknowledgement for receipt of Loan Application.
  • Offices receiving the application will have to index the same before forwarding it to CPC.
  • CPC to index the applications if received directly.

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Loan

  • In case any required document found not submitted, CPC to send a written communication through Register AD requesting to submit the document within 7 days.
  • If the documents are not received within 7 days, a reminder to be sent to the Insurant intimating that the case could not be processed due to non receipt of required documents.
  • If Loan application is rejected, CPC to intimate the same to the Insurant through Registered AD.

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Loan

Documents to be submitted along with Loan Application

Sl No

List of Documents

Cash policy

Pay Policies

1

Loan Application(format at Annex-II)/Assignment Application

(format at Annex-III)

Yes

Yes

2

Self-Attested copy of Policy Bond

Yes

Yes

3

Self-Attested copy of ID and Address proof of the Insurant (list of Documents acceptable as ID and Address proof is given in Annex-VII)

Yes

Yes

4

Self-Attested copy of ID and Address proof of the Insurant (list of Documents acceptable as ID and Address proof is given in Annex-VII)

Yes

Yes

5

Self-Attested copy of ID and Address proof of the Messenger, if any (list of Documents acceptable as ID and Address proof is given in Annex-VII)

Yes

Yes

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Loan

Documents to be submitted along with Loan Application

Sl No

List of Documents

Cash policy

Pay Policies

6

Cancelled Cheque for Bank mandate or Self Attested copy of POSB passbook (for Loan Application only)

Yes

Yes

7

Self-Attested copy of Document of Credit, if any* No Yes

No

Yes

8

Self-Attested copy of Premium Receipt Book **

Yes

No

9

Self-Attested copy of Loan Receipt Book#

Yes

Yes

  • In case, premia payment is not updated in Pay Policies, a certificate from the Employer about deduction of premia and

details/copy of pay recovery schedule sent to India Post.

** In case, premia payment is not updated in Cash Policies, Premium receipt Book is mandatory for updation of Premia

paid by Insurant in McCamish Software.

# In case, loan amount shown outstanding in the Loan Quote has been repaid partially or in full.

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Loan

All Post Offices shall maintain a Register in the following format for the

Loan Application/Assignment Application received

Sl No

Date of Receipt

Name of Insurant

Policy

Number

 

Type of

Policy

 

Name of Organisation

from which Loan is

being availed

 

Loan

Amount

 

Service

Request

No.

 

Date of

dispatch

to CPC

 

Sign of

Official

 

 

 

 

 

 

 

 

 

 

 

Name of the Office__________________________

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Loan

CPC to maintain a Register in the following format for the

Loan Application/Assignment Application received

Sl No

Service Request Number and Date

Date of receipt in CPC

Received from

(Insurant/Office)

 

Name of Insurant

 

Policy Number

 

Type of Policy

 

Loan Amount

 

Name of the organisation from which Loan is being availed

 

Sanction amount and date/date of despatch of Assignment Letter

 

Mode and date of payment

Remarks

Sign of Official

 

 

 

 

 

 

 

 

 

 

 

 

Name of the CPC ___________________________

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Surrender

  • Policies are eligible for surrender on completion of 3 Years.
  • The Policy should be “Active”. Lapsed Policies to be Revived and Made Active.
  • If Insurant is not willing to Revive, the Policy to be processed for

“Reduced Paid-up”.

  • Policy should not have been Assigned.
  • Bonus is admissible for policies continued for minimum 5 Years.
  • The Surrender Value will be arrived at on the basis of Surrender Factor.

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Surrender

  • Whole Life Assurance (SURAKSHA)
  • Convertible Whole Life Assurance (SUVIDHA)
  • Endowment Assurance (SANTOSH)
  • Joint Life Assurance (YUGAL SURAKSHA)

  • Anticipated Endowment Assurance (SUMANGAL)
  • Children Policy (BAL JEEVAN BIMA)
  • 10 Year AEA Policy (GRAMA PRIYA)

Policies that can be Surrendered

Policies that cannot be Surrendered

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Maturity Claim

  • The Claim arising as result of Insurant Surviving the date of Maturity.
  • Maturity Claim should be settled with in 30 Days as per Citizens Charter.
  • Ex-Gratia Payment of Interest if claim is attributable to administrative delay : 8%
      • For more than 30 Days from the actual date of receipt of complete claim papers or 30 days from the date of Maturity.
      • Death Claim : More than 60 Days for Policies where no Investigation required.
      • Not applicable if Insurant not preferred claim on due date.

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Maturity Claim

Maturity Claim in case of Premium paid on Lapsed Policy

  • Cases where without Reviving the Policy Premium paid.
  • Insurant continued paying Premium till Maturity.
  • Payment of Maturity Proceeds/Claim amount in such cases cannot be denied.

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Maturity Claim

Procedure to be followed at CPC

All CPC`s shall generate a ‘Detailed Pending Maturity Policy’ report through McCamish software on the first working day of the month 2 months in advance.

An Intimation Letter (Annex-1) along with Maturity/Survival Benefit Claim Form will be sent to the Policy Holder through Registered Post AD by the CPC concerned.

In case of AEA Policies, once Maturity/Survival Benefit Claim Form submitted, the details so submitted shall be used till final maturity claim settlement.

The Intimation Letter shall be shared through email ID if available and SMS shall be sent if mobile number is available

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Maturity Claim

Manner of Submission of Claim by Insurant

Can be submitted by the Insurant at any Post Office including Branch Post Office or CPC across the country.

If the Insurant is medically unfit or outside India, for submission of Maturity claim form, he/she may authorize any person as a messenger.

Only an adult literate person of sound mind, who is not an insolvent, can be appointed as Messenger.

In case of being medically unfit, a self-attested Medical Certificate to this effect need to be submitted from Govt. Hospital or Govt. accredited Hospital.

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Maturity Claim

Action at Claim Receiving Office

If required, the official concerned shall help the Insurant in filling up the

Maturity/Survival Benefit Claim Form correctly by guiding and explaining the

requirements.

Official concerned shall inform the Insurant that after submission of Maturity/Survival Benefit Claim Form and Indexing of service request in the system, he/she will not be able to deposit any premia or repay loan in the Policy

Insurant should be advised to pay his/her all due premia/loan amount before indexing the service request in system.

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Maturity Claim

Action at Claim Receiving Office

Official accepting the self-attested copy of a document will compare it

with the ORIGINALS and shall put his/her signature in token of having

verified the copies with their originals.

The Office concerned will give an Acknowledgement (Part of Annex-II) for

receipt of the Claim Form to the Insurant.

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Maturity Claim

Procedure to be followed at CPC

All CPC`s shall generate a ‘Matured Policy’ report through McCamish software on the last working day of the month.

‘ Matured Policy’ Report shows the Policy matured but service request not indexed across the country

A reminder (Annex-VII) shall be sent by the CPC concerned to the insurant through

Registered AD.

Wherever mobile number of insurant is available CPC will contact the insurant over phone

The Intimation Letter shall be shared through email ID if available and SMS shall be sent if mobile number is available

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Maturity Claim

All Post Offices shall maintain a Register in the following format for the Claim

Form received.

Sl.

No.

 

Date of

Receipt

 

Name of

Insurant

 

Policy

Number

 

Sum

Assured

 

Type of

Policy

 

Service

Request No.

 

Date of

dispatch to

CPC

 

Sign of

Official

 

 

 

 

 

 

 

 

 

 

Name of the Office ___________________________

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Maturity Claim

All CPC`s to maintain a Register for reminders in the following format.

Sl.

No.

 

Name of

Insurant

 

Policy

Number

 

Type of

Policy

 

Sum

Assured

 

Date and Item

number

through

which

intimation

letter was

sent

Date and Item

number

through

which

reminder was

sent

Remarks 

Sign of

Official

 

 

 

 

 

 

 

 

 

 

Name of the CPC ___________________________

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Maturity Claim

All the Claim Forms received at CPC shall be entered in a Register in the following format

Sl No

Service Request Number and Date

Date of receipt in CPC

Received from

(Insurant/name of Office)

 

Name of Insurant

 

Policy Number

 

Sum Assured

 

Type of Policy

 

Cash/Pay Policy

 

Sanction amount and date 

Mode and date of payment

Remarks

Sign of Official

 

 

 

 

 

 

 

 

 

 

 

 

Name of the CPC ___________________________

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  • In case any required document found not submitted, CPC to send a written communication through Register AD requesting to submit the document within 15 days.
  • If the documents are not received within 15 days, a reminder to be sent to the Insurant intimating that the case could not be processed due to non receipt of required documents.
  • If Maturity/Survival Benefit Claim is rejected, CPC to intimate the same to the Insurant through Registered AD by next working day giving the reason.

Maturity Claim

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Maturity Claim

Documents to be submitted along with Maturity/Survival Benefit Claim

Sl No

List of Documents

Cash policy

Pay Policies

1

Maturity/Survival Benefit Claim Form (format at

Annex-II)

Yes

Yes

2

Original Policy Bond or Letter of Indemnity*

(Format at Annex- III)

Yes

Yes

3

Self-Attested copy of ID and Address proof of the

Insurant (list of Documents acceptable as ID and

Address proof is given in Annex-IV)

Yes

Yes

4

Cancelled Cheque for Bank mandate or Self Attested

copy of POSB passbook

Yes

Yes

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Maturity Claim

Documents to be submitted along with Loan Application

Sl No

List of Documents

Cash policy

Pay Policies

5

Self-Attested Document of Credit, if any**

No

Yes

6

Premium Receipt Book ***

Yes

No

7

Loan Receipt Book#

Yes

Yes

  • Letter of Indemnity, if any, must be Notarised from Public Notary on non-judicial stamp paper of value as

prescribed in the State concerned.

** In case, premia payment is not updated in Pay Policies, a certificate from the Employer about deduction of

premia and details/copy of pay recovery schedule sent to India Post.

*** In case, premia payment is not updated in Cash Policies, Premium receipt Book is mandatory for updation of

Premia paid by Insurant in McCamish Software.

# In case, loan amount shown outstanding in the Intimation letter has been repaid partially or in full.

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Death Claim

Death Claim Categories

Early Death Claim

  • Death within three years

Normal Death Claim

  • Death after three years

Death due to Accidents

  • Notwithstanding the tenure of the Policy

Death due to Suicide {A}

  • Before expiry of one year from the date of acceptance/revival

Death due to Suicide {B}

  • After one years from the date of acceptance/revival

Death after Maturity

  • Before disbursement of the maturity value
  • The period between date of acceptance of proposal and cause of death play a vital role in deciding the Procedure

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  • Whether the premium/premia is/are paid up to date (or) within the period of grace allowed as per rule.
  • Whether “Fact of Death” is confirmed.
  • In case of Murder of the Insurant : Whether Nominee/Claimant is involved in murder of the Insurant.

Death Claim

Three Important things to be confirmed for settlement of the Claim

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  • On receipt of the Documents and Claim Application, CPC to process and send the same to Approving Authority.
  • Approving Authority shall send the case to Inquiry Officer concerned.
  • Inquiry beyond the jurisdiction shall be sent to the Concerned Division through McCamish.

Death Claim

Death within 3 Years from the Date of Acceptance/Revival of Policy whichever is later

Detailed enquiry is necessary to find out

  • Any suppression of material information.
  • Any disease pre-existed at the time of the inception of the Policy.
  • Enquiry is necessary in case of Natural Death also.

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Death Claim

  • Genuineness of FIR and Post Mortem Report should be thoroughly verified by Field Enquiry Officer.

  • Claim can be settled.
  • Enquiry has to be made to ascertain whether Nominee/Claimant is involved in the murder.
  • The Legal Representative/Nominee is not eligible to receive the money if the murder is committed/abetted by them, if acquitted by the Competent Court of Law by giving the benefit of doubt.
  • The money will be payable to other eligible legal heir(s) of the policy holder.

Accidental Death

In Case of Murder

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  • No need of Inquiry.
  • Normal Death Claim is as good as Maturity.
  • CPC to process and send the same to Approving Authority for Approval.

Death Claim

Death beyond 3 Years from the Date of Acceptance/Revival of Policy whichever is later

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  • Nominee
  • Legal Heirs in case of Counter Claim

Death Claim

Who can receive the proceeds?

  • Natural Guardian
  • Appointed Guardian OR
  • Nominee on attaining Majority

In case of Minor Nominee

  • Amount payable to surviving Nominee or Nominees

In case of more than one Nominees and one of the Nominee Dies

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Death Claim

Death Claim for Non-Medical Policies

Period

Amount of Claim

Within One Year

35% + Accrued Bonus

After One Year Before Two Years

60% + Accrued Bonus

After Two Years Before Three Years

90% + Accrued Bonus

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Death Claim

Death Claim for Suicide Cases

Period

Amount of Claim

Within One Year

80% of the premium paid till the date of death or Surrender value whichever is higher

After One Year

Sum Assured plus Bonus

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Death Claim

Remission Period in case of Death before 36 Months

Period

Days Allowed beyond the Period of Grace

Within Six Months

Nil

Within Twelve Months but not before completion of Six Months

30 Days

Within Twenty Four Months but not before completion of Twelve Months

60 Days

Within Thirty Six Months but not before completion of Twenty Four Months

90 Days

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Documents Required for Normal Death Claim

    • Annexure-I (Claim Application for PLI/RPLI (death Cases).
    • Original Policy Bond or Letter of Indemnity.
    • Self-Attested copy of Death Certificate.
    • Self-Attested copy of ID and Address Proof of the Claimant.
    • Cancelled Cheque for Bank Mandate.
    • Self-Attested copy of Legal Document if Nomination is not available.
    • Document of credit (If pay Policy).
    • Loan Receipt Book (If loan was availed and remain unpaid).
    • Premium Receipt Book (If Cash Policy).

Death Claim

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Following Additional Documents are Required

    • Medical summary from Hospital if treatment is taken in Hospital.
    • Final report from Police if FIR is filed.
    • Final report of chemical analysis if Post-mortem is conducted.
    • Indemnity Bond from Claimant.

Death Claim

Early and Unnatural Death Claim

Investigated thoroughly to enquire if the Insurant while submitting the proposal has suppressed Material Information.

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Documents required where Legal Evidence is not produced

  1. Proof of Death of the Insurant/Nominee.
  2. Affidavit on Rs.10/- Stamp Paper.
  3. Letter of Indemnity on Rs.100/- e-Stamp paper/Non-Judicial Paper
  4. Letter of Disclaimer on Affidavit/e-Stamp/Non-Judicial Paper worth Rs.10/- duly attested by a Notary Public/Oath Commissioner.

Death Claim

Can be settled without Legal Evidence

Legal Evidence (No Nomination/Counter Claim Cases)

Succession Certificate is Mandatory

Up to Rs.300000/-

(Sum Assured + Bonus)

Above Rs.300000/-

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Appeal

  • Appeal can be made against rejection of Death Claims.
  • Appeal shall be made to the next higher authority of the rejecting authority.
  • Appeal to be preferred within 90 Days of rejection.
  • Appellate Authority to dispose off the Appeal within 45 Days.
  • Appeal can be sent directly or through CPC.
  • The Appeal may be either in person or through post or email.
  • Details of the Appellate Authority to be furnished in the Claim Rejection Order invariably.
  • Delay in submission may be condoned by the Appellate Authority for good and sufficient reason.

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Death Claim

Register to be maintained at Post Offices

Sl.

No.

Date of Receipt

Name of Insurant

Policy Number

Sum Assured

Type of Policy

Service Request No.

Date of

dispatch to CPC

Sign of Official

 

 

 

 

 

 

 

 

 

    • All Post Offices shall maintain a Register in the following format for the Claim Form received-

Name of the Office_________________

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Death Claim

Register to be maintained at CPC

    • All the claim forms received to be entered in the following Register

Name of the CPC_________________

Sl

No.

Service Request No. and date

Date of Receipt in CPC

Received from (Insurant

/name of office)

Name of Insurant

Policy Number

Sum Assured

Type of Policy

Cash/Pay Policy

Sanction Amount and Date

Mode & Date of payment

Remarks

Sign of Official

 

 

 

 

 

 

 

 

 

 

 

 

 

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Preservation of Records

Sl No.

Type of Policy

Schedule

1

Policies where less than 3 years of premia paid and policy is lapsed

5 years after maturity date is over

2

Policies where at least 3 years of premia paid and policy is surrendered

5 years after payment of Surrender value

3

Policies where at least 3 years of premia paid and policy is Forced Surrendered

5 years after the date of ‘Forced Surrender’

4

Policies where at least 3 years of premia paid and insurance contract is discharged due to Maturity or Death

5 years after payment of Maturity/ Death Claim amount

5

Policies cancelled at the option of Insurant during ‘Free Look’ period

5 years after cancellation of the policy

6

Policies which are subject matter of any case filed in any court of law

3 years after final clearance from arbitration, litigation, enquiry or audit as the case may be or till the prescribed retention period, whichever is later

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Death Claim

Areas of Concern

Average time taken for PLI Death Claim

64 Days

Average time taken for RPLI Death Claim

More than 90 Days

Average time taken for death claims involving inquiry

62 Days

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Roles and Responsibilities

  1. Guiding the insurant/nominee/claimant in filling the necessary applications/forms relating to after sale services and claims.
  2. Guiding the insurant/nominee/claimant in procuring the relevant supporting documents for after sale services and claims.
  3. Verifying the documents submitted by the insurant/nominee/claimant.
  4. In case of death claims, segregating them into early and normal death claims.
  5. Ensuring the indexing of the service request in McCamish.
  6. Forwarding the application/forms to the respective CPC for further process without any delay.

Role of Supervisor relating to After Sale Services and Claims

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New Promotional Structure

New Promotional (Sales) Structure of PLI/RPLI

Head of Circle

CPC

Divisional Head

DPS

PMG

FO

DA

GDS

DE

DO (PLI)

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Feature of New Promotional Structure

  1. Group Leader will be known as Development Officer.
  2. Each Postal Division will have One Development Officer.
  3. Sales Force comprises Development Officer, Direct Agent, Departmental Employees, Field Officer & GDS.
  4. Departmental Employees will include Inspector of Posts & Assistant Superintendent of Post Offices.
  5. Policies procured by the Sales Force from the Neighboring Divisions with prior approval from the Competent Authority (ADM/DDM (PLI)(RO/CO) should be Indexed at the CPC where Insurant resides.

New Promotional Structure

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Incentive to Sales Force

Other than AEA

Premium Paying Term

Incentive Structure on First Year Premium

Up to and Equal to 15 Years

4% of First Year Premium

More than 15-25 Years

10% of First Year Premium

Above 25 years

20% of First Year Premium

For AEA

Less than or Equal to 15 Years

5% of First Year Premium

Beyond 15 Years

7% of First Year Premium

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Incentive to Sales Force

Procurement Incentives for PLI Advisors

  • Development Officer will be paid 1% of total PLI New Business Premium procured by the attached Direct Agents.

Renewal Incentive for PLI:

  • 1% of Renewal Premium in respect of PLI Cash Policies to all types of PLI Sales Force.
  • Development Officer will not be paid Renewal incentives on PLI Policies.

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Incentive to Sales Force

Procurement Incentives for RPLI Advisors

  • For RPLI Policies Sales Force will get Procurement incentives of 10% of Procurement Premium.
  • DO will be paid 1% of total RPLI New Business Premium procured by the Direct Agents.

Renewal Incentive for RPLI

  • 2.5% of Renewal Premium in respect of RPLI Cash Policies to all Sales Force.
  • Development Officer will not be paid Renewal incentives on RPLI Policies.

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Incentive on Online/Cash/Pay Policies

Incentive to Sales Force

  • Procurement incentive prescribed will be payable on PLI/RPLI Policies in case of Online/Cash/Pay Policies. case of Pay Policies.

  • Renewal incentive prescribed will be payable on PLI/RPLI Policies in case of Online/Cash Policies.

  • No renewal incentive will be payable in case of Pay Policies.

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Termination of Agency Code

Incentive to Sales Force

  • If Sales Force does not procure minimum of four(4) new policies in financial year, the license may deemed to be terminated.
  • In such cases, the agent should apply for new agency code.
  • The terminated license will not be reactivated.

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